基于数据挖掘的原发性痛经现代针灸临床用穴特点探析.docVIP

基于数据挖掘的原发性痛经现代针灸临 床用穴特点探析 秦璐 董珍珍 李丹萍 姚嬪佳 朱汇霖胡葵 南京中医药大学翰林学院南京中医药大学 摘要： 冃的运用数据挖掘技术分析总结针灸治疗原发性痛经临床用穴特点。方法收集 近10年针灸治疗原发性痛经的临床文献，运用EXCEL软件建立原发性痛经的现 代针灸临床处方数据库，采用Python编程和Clementines. 0软件对数据进行描 述性分析、关联规则分析和聚类分析。结果 现代针灸治疗原发性痛经，选用脸 穴74个，总频次1072次。所选经脉以脾经选用频次最高（325次），其次为任 脉（260次）与膀胱经（158次）；所选脸穴频次最多为三阴交穴（174次），关 元（111次）、地机（79次）、次醪（73次）、气海（67次）次之。特定穴占 总脸穴的66. 22% （49/74）,其中交会穴的使用占优势（393次）,用穴个数多, 集中在三阴交、关元、中极等;其次是五月俞穴、募穴和原穴的使用频次较高，分 别为195次、195次和99次。关联规则分析显示穴位间相关性最高的是关元-三 阴交。聚类结果显示，存在8个核心用穴群。结论本研究总结出针灸治疗原发 性痛经的临床选穴常用组合规律，为临床治疗原发性痛经提供思路和参考依据。 关键词： 针灸疗法;痛经;选穴;数据挖掘技术; 作者简介：秦璐（1995—）,女，2013 级木科生，Email:907261788@qq. com 收稿日期：2017-05-20 基金：基金项冃：江苏省大学生创新创业训练计划（201513981004Y） Characteristics of Acupoirrts Selection in Acupuncture—moxibustion Treatment of Primary Dysmenorrhea Based on Data Minin QIN Lu DONG Zhen-zhen LI Dan-ping YAO Jing-jia ZHU Hui-lin HU Kui Nanjing University of Chinese Medicine Hanlin College; Nanjing University of Chinese Medicine; Abstract： Objective To summarize the characteristies of acupoints selection in acupuncture_moxibustion treatment of primary dysmenorrhea (PD) based on data mining. Method Clinical literatures published in the recent 10 years related to acupuncture-moxibustion treatment of PD were collected to establish a prescription database by using Excel. The descriptive analysis, association rules analysis and clustering analysis were conducted by Python and Clementine 12.0. Result A total of 74 acupoints were involved with a total frequency of 1072. The leading three meridians were Spleen Meridian (325 times) 、 Conception Vessel (260 times) and Bladder Meridian (158 times) ; the leading acupoints were Sanyinjiao (SP6, 174 times) , Guanyuan (CV4, 111 times) , Diji (SP8, 79 times) , C订iao (BL32, 73 times) and Qihai (CV6, 67 times) . The uti1ization of the specific acupoints accounted for 66.22% (49/74) ? The crossing acupoints were predominant (393 times) , especially Sanyinjiao, Guanyuan and Zhongji (CV3) , followed by the five~Shu points (195 times) ,